Active NPI
Don Henry Wijaya, M.D.
- Psychiatry Physician
- Trenton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA03238700
- Practice address
- 601 Hamilton Ave
St Francis Medical Center
Trenton, NJ 08629-1915 - Phone
- (609) 599-5180
- NPI assigned
- Feb 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA03238700 | NJ | Primary |
Addresses
Primary practice location
601 Hamilton Ave
St Francis Medical Center
Trenton, NJ 08629-1915
Mailing address
601 Hamilton Avenue
St Francis Medical Center
Trenton, NJ 08629-1986
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1971
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1 Hamilton Health PL
Trenton, NJ 08690-3542
Phone (609) 731-2889
650 Rancocas Rd
Westampton, NJ 08060-5613
Phone (609) 267-7000
Hospital & facility affiliations
- Robert Wood Johnson University Hospital at Hamilton
- Robert Wood Johnson University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03238700 | NJ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uhs of Hampton Inc | Current | Accepting new patients | |
| Uhs of Hampton, Inc | Psychiatry | Current | Accepting new patients |
Locations
1001 Kings Hwy S
Cherry Hill, NJ 08034
Phone (609) 518-2253
650 Rancocas Rd
Westampton, NJ 08060
Phone (609) 267-7000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Westampton, NJ
- NPI 1285822858
-
- Family Medicine Physician
- Westampton, NJ
- NPI 1851843049
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hamilton, NJ
- NPI 1629069638
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1346243375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329696000000",
"number": "1295008373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 HAMILTON AVENUE",
"address_2": "ST FRANCIS MEDICAL CENTER",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086291986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 HAMILTON AVE",
"address_2": "ST FRANCIS MEDICAL CENTER",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086291915",
"telephone_number": "609-599-5180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIJAYA",
"first_name": "DON",
"middle_name": "HENRY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-20",
"last_updated": "2012-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA03238700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.